Organization
BRACEYS SUPERMARKET INC MOOSIC
Active
Organization
BRACEYS SUPERMARKET INC MOOSIC
Active
Other names
ShopRite Pharmacy of Birney Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
3382 BIRNEY PLZ, MOOSIC, PA 18507-1560
(570) 904-6042
(570) 904-6043
Mailing address
921 DRINKER TPKE STE 24, COVINGTON TOWNSHIP, PA 18444-7948
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/26/2021
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